PES-EBS.INC. (NPI# 1316295082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316295082 |
| Entity Type | Organization |
| Organization Name | PES-EBS.INC. |
| Practice Address |
340 Lincoln St Roseville CA 95678-2230 |
| Mailing Address |
11837 Kemper Rd Ste 2 Auburn CA 95603-9067 |
| Practice Telephone | 5308634720 |
| Practice Fax Number | 5308889065 |
| Mailing Telephone | 5308634720 |
| Mailing Fax Number | 5308889065 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MRS. DEBORA ANNE MARTIN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5308634720 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
310021AP | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166296 | Pes-ebs.inc. | Clinic/Center | 2060 Chicago Ave Ste A9, Riverside, CA 92507-2316 | 2018-12-24 |
| 1851763882 | Pes-ebs.inc. | Community/Behavioral Health | 600 W Santa Ana Blvd, Suites 107, 108, 109, & 110, Santa Ana, CA 92701-5458 | 2015-10-29 |
| 1881944080 | Pes-ebs.inc. | Counselor | 11960 Heritage Oak Pl, Ste 7, Auburn, CA 95603-2401 | 2012-09-14 |
| 1487902151 | Pes-ebs.inc. | Counselor | 11960 Heritage Oak Pl, Ste 7, Auburn, CA 95603-2401 | 2012-08-28 |
| Street Address |
340 LINCOLN ST |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575364 | William Henry Hoffman IIi | Counselor | 2467 Sheldon St, Roseville, MN 55113-3138 | 2019-06-02 |
| 1962987560 | Bradley Thomas Conley | Counselor | 2233 Hamline Ave N Ste 110, Roseville, MN 55113-5002 | 2018-09-28 |
| 1386156065 | Gina M Nunez | Counselor | 730 Sunrise Ave Ste 200-201, Roseville, CA 95661-4567 | 2017-11-02 |
| 1023540515 | Dawn New Awakening LLC | Counselor | 26316 Ronald St, Roseville, MI 48066-4458 | 2017-04-03 |
| 1962809699 | Michael Walsh Gannon | Counselor | 109 Cloud Touch Ct, Roseville, CA 95747-7116 | 2014-11-24 |
| 1700210218 | Ozlem Tekelioglu | Counselor | 1133 Coloma Way Suite C, Roseville, CA 95661 | 2013-09-03 |
| 1114369816 | Amanda Macmillan | Counselor | 101 Cirby Hills Drive, Roseville, CA 95678 | 2013-07-23 |
| 1871860890 | Raymond Richard Evans | Counselor | 2499 Rice Street, Roseville, MN 55113 | 2011-11-18 |
| 1023308079 | Jennica Rachel Jenkins | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2011-04-12 |
| 1154628857 | Kelly Elizabeth Steinbach | Counselor | 1050 Opportunity Dr Ste 160b, Roseville, CA 95678-3030 | 2011-02-16 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on PES-EBS.INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.